How much rates vary
Facilitymedian $275 · 10th to 90th $110 to $1,072Professionalmedian $245 · 10th to 90th $126 to $437
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $125.89 | Facility | None | $109.65 | $125.89 | $125.89 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $83.18 Median $93.33 Typical High $93.33 | Facility | 54 · Surgery only | $83.18 | $93.33 | $93.33 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $16.60 Median $19.05 Typical High $19.05 | Facility | 55 · Aftercare only | $16.60 | $19.05 | $19.05 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $87.10 Typical High $87.10 | Facility | 78 · Unplanned return to OR | $77.62 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $125.89 | Professional | None | $109.65 | $120.23 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $91.20 Typical High $93.33 | Professional | 54 · Surgery only | $83.18 | $91.20 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $16.60 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $85.11 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $77.62 | $85.11 | $87.10 |
BCBS Minnesota Setting Facility Modifier None Typical Low $323.59 Median $870.96 Typical High $2,344.23 | Facility | None | $323.59 | $870.96 | $2,344.23 |
BCBS Minnesota Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $389.05 | Professional | None | $173.78 | $257.04 | $389.05 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $208.93 Typical High $309.03 | Professional | 54 · Surgery only | $141.25 | $208.93 | $309.03 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $52.48 Typical High $77.62 | Professional | 55 · Aftercare only | $37.15 | $52.48 | $77.62 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $218.78 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $147.91 | $218.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $616.60 | Facility | None | $208.93 | $323.59 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $489.78 | Professional | None | $173.78 | $309.03 | $489.78 |
Health Partners Setting Facility Modifier None Typical Low $181.97 Median $302.00 Typical High $512.86 | Facility | None | $181.97 | $302.00 | $512.86 |
Health Partners Setting Professional Modifier None Typical Low $154.88 Median $288.40 Typical High $436.52 | Professional | None | $154.88 | $288.40 | $436.52 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $281.84 Typical High $1,230.27 | Facility | None | $125.89 | $281.84 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $269.15 Typical High $891.25 | Professional | None | $128.82 | $269.15 | $891.25 |
United Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $1,778.28 | Facility | None | $125.89 | $426.58 | $1,778.28 |
United Setting Professional Modifier None Typical Low $107.15 Median $199.53 Typical High $407.38 | Professional | None | $107.15 | $199.53 | $407.38 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $63.10 Typical High $63.10 | Facility | 52 · Reduced service | $54.95 | $63.10 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $25.12 | Facility | 53 · Discontinued | $21.88 | $25.12 | $25.12 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.59 Typical High $12.59 | Facility | 56 · Pre-op care only | $10.96 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $12.02 Typical High $12.59 | Professional | 56 · Pre-op care only | $10.96 | $12.02 | $12.59 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $478.63 Median $851.14 Typical High $1,584.89 | Facility | 50 · Both sides | $478.63 | $851.14 | $1,584.89 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $389.05 Typical High $588.84 | Professional | 50 · Both sides | $263.03 | $389.05 | $588.84 |
Where Minnesota sits
The same service costs 4.5 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 3rd of 51
$251
AK $427FL $95.50
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.